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Related Concept Videos

Nursing Evaluation01:15

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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RETurn to work After stroKE (RETAKE) Trial: protocol for a mixed-methods process evaluation using normalisation

Kathryn A Radford1, Christopher McKevitt2, Sara Clarke3

  • 1Centre for Rehabilitation and Ageing Research, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK Kathryn.radford@nottingham.ac.uk.

BMJ Open
|March 16, 2022
PubMed
Summary
This summary is machine-generated.

This study evaluates the RETurn to work After stroKE (RETAKE) intervention, assessing its fidelity and implementation barriers. Findings will inform strategies for improving vocational rehabilitation for stroke survivors and their return to work.

Keywords:
clinical trialsstrokestroke medicine

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Area of Science:

  • Rehabilitation Medicine
  • Health Services Research
  • Process Evaluation

Background:

  • Stroke survivors face significant challenges in returning to work, necessitating effective vocational rehabilitation strategies.
  • Early Stroke Specialist Vocational Rehabilitation (ESSVR) is a potential intervention to facilitate return to work, but its implementation requires thorough evaluation.
  • Understanding the fidelity, context, barriers, and facilitators of ESSVR is crucial for optimizing its delivery and effectiveness.

Purpose of the Study:

  • To conduct a mixed-method process evaluation of the RETurn to work After stroKE (RETAKE) trial.
  • To measure fidelity to the Early Stroke Specialist Vocational Rehabilitation (ESSVR) intervention.
  • To identify barriers and facilitators influencing the implementation of ESSVR in stroke survivors' return to work.

Main Methods:

  • Utilizing Normalisation Process Theory to guide the process evaluation.
  • Assessing intervention fidelity through therapist training observation, mentor support review, participant questionnaires, and therapy record analysis.
  • Employing qualitative methods (case studies, interviews) and quantitative methods (regression, descriptive statistics) to explore context, experiences, and outcomes.

Main Results:

  • Fidelity to the ESSVR intervention will be quantitatively assessed.
  • Qualitative data will explore therapists' attitudes, competency, and contextual influences on implementation.
  • Integrated analysis of quantitative and qualitative data will provide a comprehensive understanding of the intervention's implementation.

Conclusions:

  • The process evaluation will provide critical insights into the implementation of ESSVR for stroke survivors.
  • Findings will inform the refinement and broader application of vocational rehabilitation interventions post-stroke.
  • This study aims to enhance the clinical and cost-effectiveness of strategies supporting return to work after stroke.